Reappraisal of the negative impression cast and the subtalar joint neutral position

For many years, pediatric physicians have been casting orthotic devices with the foot placed in the subtalar joint neutral position based on work by Root et all. Recent research pertaining to the subtalar joint neutral position during the gait cycle is in disagreement with the theory of Root et al and the inverted subtalar joint neutral casting technique. The current research and a historical perspective of casting techniques will be reviewed to help clarify terminology and to decipher the relationship between the rearfoot position during the gait cycle and casting technique.